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IMPORTANT: ln these spaces, copy lhe correspondlng lnforrnallon from Section A.FOR INSU'IANCE COMPANY USE <br />Building Street Address (includlng Apl., Unil, Suile, and/or Bldg. No.) or P.O. Roule and Box No. <br />3005 Dapple Gray Way <br />Policy Number: <br />Company NAIC NumberCity <br />Ellonsburg <br />$late <br />Washington <br />ZIP Code <br />98926 <br />lf .submllllng more photographs_ than will fit on tho preceding page, affix lhe adclilional photographs below. ldenlify all pholographs <br />wilh: daie laken; "Front View" and "Rear View"; and, if required, "Right Side Vieu/' anrl "Lofl Sido Viow." Wtren appticabte, <br />photographs musl show the foundalion with representalive examples of the flood openings or vonls, as indicaled ln Seclion A'8. <br />Phoio Three Caption Rear Viow ,Cl€ar Photo Throe <br />Pholo Four Caplion Side View Clear Photo Four <br />ELEVATION CERTIFICATE <br />BUILDING PHOTOGRAPHS <br />Conlinualion Page <br />oMB No. 1660-0008 <br />Expirallon Dste: November 30,2022 <br />FEMA Form 086-0-33 (12l19)Replaces all provious edilions.Form Page 6 of 6